NURS 5220 EXAM 2 QUESTIONS AND
ANSWERS GRADED A+ 2025/2026
Aaron sign - ANS Pain or distress occurs in the area of the patient's heart or stomach on
palpation of McBurney's point
Appendicitis
Ballance sign - ANS Fixed dullness to percussion in left flank, and dullness in right flank that
disappears on change of position
Peritonitis
Blumberg sign - ANS rebound tenderness
peritonitis, appendicitis
Cullen sign - ANS bruising around umbilicus
pancreatitis or ectopic pregnancy
Dance sign - ANS absence of bowel sounds in RLQ
intussusception
Grey Turner sign - ANS Ecchymosis of flanks
Hemoperitoneum; pancreatitis
1 @COPYRIGHT 2025/2026 ALLRIGHTS RESERVED.
, Kehr sign - ANS abdominal pain radiating to the left shoulder
spleen rupture, ectopic pregnancy, renal calculi
Markle sign (heel jar) - ANS abdominal pain when running, jumping, RLQ pain when pt drops
from tip toes to heel with jarring landing
appendicitis, peritonitis
McBurney's sign - ANS rebound tenderness associated with appendicitis (RLQ)
Murphy's sign - ANS Abrupt cessation of inspiration with palpation of gall bladder
cholecystitis
Romberg test - ANS Ask client to stand with feet at comfortable distance apart, arms at sides,
and eyes closed
-expected finding: client should be able to stand with minimal swaying for at least 5 seconds
-strangulated obturator hernia
Rovsing's sign - ANS Pain in RLQ with palpation of LLQ indicative of appendicitis
Iliopsoas muscle test - ANS RLQ pain that occurs when placing pressure against a raised leg,
suggesting appendicitis
Obturator muscle test - ANS have patient flex right leg at hip and knee; then rotate hip
externally and lower leg medially
-possible appendicitis, pelvic abscess
Percussion for ascites - ANS - Fluid associated with ascites will sink with GRAVITY and gas
filled loops of bowel will rise to top of abdomen
- Percussion sounds will be dull in dependent areas of abdomen
- Assess for shifting dullness by having patient lie on the side
2 @COPYRIGHT 2025/2026 ALLRIGHTS RESERVED.
ANSWERS GRADED A+ 2025/2026
Aaron sign - ANS Pain or distress occurs in the area of the patient's heart or stomach on
palpation of McBurney's point
Appendicitis
Ballance sign - ANS Fixed dullness to percussion in left flank, and dullness in right flank that
disappears on change of position
Peritonitis
Blumberg sign - ANS rebound tenderness
peritonitis, appendicitis
Cullen sign - ANS bruising around umbilicus
pancreatitis or ectopic pregnancy
Dance sign - ANS absence of bowel sounds in RLQ
intussusception
Grey Turner sign - ANS Ecchymosis of flanks
Hemoperitoneum; pancreatitis
1 @COPYRIGHT 2025/2026 ALLRIGHTS RESERVED.
, Kehr sign - ANS abdominal pain radiating to the left shoulder
spleen rupture, ectopic pregnancy, renal calculi
Markle sign (heel jar) - ANS abdominal pain when running, jumping, RLQ pain when pt drops
from tip toes to heel with jarring landing
appendicitis, peritonitis
McBurney's sign - ANS rebound tenderness associated with appendicitis (RLQ)
Murphy's sign - ANS Abrupt cessation of inspiration with palpation of gall bladder
cholecystitis
Romberg test - ANS Ask client to stand with feet at comfortable distance apart, arms at sides,
and eyes closed
-expected finding: client should be able to stand with minimal swaying for at least 5 seconds
-strangulated obturator hernia
Rovsing's sign - ANS Pain in RLQ with palpation of LLQ indicative of appendicitis
Iliopsoas muscle test - ANS RLQ pain that occurs when placing pressure against a raised leg,
suggesting appendicitis
Obturator muscle test - ANS have patient flex right leg at hip and knee; then rotate hip
externally and lower leg medially
-possible appendicitis, pelvic abscess
Percussion for ascites - ANS - Fluid associated with ascites will sink with GRAVITY and gas
filled loops of bowel will rise to top of abdomen
- Percussion sounds will be dull in dependent areas of abdomen
- Assess for shifting dullness by having patient lie on the side
2 @COPYRIGHT 2025/2026 ALLRIGHTS RESERVED.
